Active NPI
Richard Alan Goldberg, D.O.
- Adult Medicine Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- OS 6807
- Practice address
- 2163 South U.S. Hwy 1
Jupiter, FL 33477-7338 - Phone
- (561) 746-0208
- Fax
- (561) 575-1267
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | OS 6807 | FL | Primary |
Addresses
Primary practice location
2163 South U.S. Hwy 1
Jupiter, FL 33477-7338
Mailing address
2163 South U.S. Highway 1
Driftwood Family Practice , P.a.
Jupiter, FL 33477-7338
Phone (561) 746-0208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Jupiter Lakes Blvd
Suite 5206
Jupiter, FL 33458-7192
Phone (561) 746-0208
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 6807 | FL | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Driftwood Family Practice PA | Adult Medicine | Current | Accepting new patients |
| Palm Beach Cardiology Center Inc | Past | Accepting new patients |
Locations
210 Jupiter Lakes Blvd
Ste 5206
Jupiter, FL 33458
Phone (561) 746-0208
2163 S US Highway 1
Jupiter, FL 33477
Phone (561) 746-0208
Interoperability endpoints
- rgoldberg19891@jupitermedicalcenter.direct-ci.com
- https://api.platform.athenahealth.com/5866/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Medicine Physician
- Jupiter, FL
- NPI 1629296587
-
- Cardiovascular Disease Physician
- Palm Beach Gardens, FL
- NPI 1598707937
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jupiter, FL
- NPI 1780635540
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982635595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2163 SOUTH U.S. HIGHWAY 1",
"address_2": "DRIFTWOOD FAMILY PRACTICE , P.A.",
"city": "JUPITER",
"state": "FL",
"postal_code": "334777338",
"telephone_number": "561-746-0208",
"fax_number": "561-575-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2163 SOUTH U.S. HWY 1",
"city": "JUPITER",
"state": "FL",
"postal_code": "334777338",
"telephone_number": "561-746-0208",
"fax_number": "561-575-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "RICHARD",
"middle_name": "ALAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "OS 6807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.